Relation between bed use, social deprivation, and overall bed availability in acute adult psychiatric units, and alternative residential options : a cross sectional survey, one day census data, and staff interviews.
To examine the relation between bed use, social deprivation, and overall bed availability in acute adult psychiatric units and to explore the range of alternative residential options.
Cross sectional survey, combined with one day census data ; ratings by and interviews with staff ; examination of routine data sources.
Nationally representative sample of acute psychiatric units.
2236 patients who were inpatients on census day.
Main outcome measures
Bed occupancy levels, judged need for continuing inpatient care, reasons preventing discharge, scores on the Health of the Nation outcome scales.
Bed occupancy was related to social deprivation and total availability of acute beds (r=0.66,95% confidence interval 0.19 to 0.88, F=8.72, df=2,23 ; P=0.002).
However, 27% (603/2215) of current inpatients (61% (90/148) of those with stays of>6 months) were judged not to need continuing admission.
The major reasons preventing discharge were lack of suitable accommodation (37% (176/482) of patients in hospital<6 months v 36% (31/86) of those in hospital>6 months) ; inadequate domiciliary based community support (23% (113) v 9% (8)) ; and lack of long term rehabilitation places (21% (100) v 47% (40)). Scores on the Health of the Nation outcome scale were generally consistent with these staff judgments. (...)
Mots-clés Pascal : Hôpital psychiatrique, Lit, Statut social, Privation, Disponibilité, Organisation, Psychopathologie, Etude transversale, Adulte, Homme
Mots-clés Pascal anglais : Psychiatric hospital, Bed, Social status, Deprivation, Availability, Organization, Psychopathology, Cross sectional study, Adult, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0147907
Code Inist : 002B30A04D. Création : 21/05/1997.